Attendee Information

* 1. Please enter your first name, last name, and email address.

* 2. Would you like to add your email address to The Alliance's distribution list, so you receive information about upcoming programs from time to time?

* 3. I am a

* 4. What school(s) does your child(ren) attend?  (Check all that apply)

* 5. How did you hear about this program? (Check all that apply)

* 6. Below please list any questions you would like to be addressed by David Sobel.

* 7. Are you registering for additional participants?